Microstructural and mechanical characterization of contemporary lingual orthodontic brackets.

OBJECTIVES To investigate the composition and the microstructural and mechanical characterization of three different types of lingual brackets. MATERIALS AND METHODS Incognito™ (3M Unitek), In-Ovation L (DENTSPLY GAC) and STb™ (Light Lingual System, ORMCO) lingual brackets were studied under the scanning electron microscope employing backscattered electron imaging and their elemental composition was analysed by energy-dispersive X-ray microanalysis. Additionally, Vickers hardness was assessed using a universal hardness-testing machine, and the indentation modulus was measured according to instrumented indentation test. Two-way analysis of variance was conducted employing bracket type and location (base and wing) as discriminating variable. Significant differences among groups were allocated by post hoc Student-Newman-Keuls multiple comparison analysis at 95% level of significance. RESULTS Three different phases were identified for Incognito and In-Ovation L bracket based on mean atomic number contrast. On the contrary, STb did not show mean atomic contrast areas and thus it is recognized as a single phase. Incognito is a one-piece bracket with the same structure in wing and base regions. Incognito consists mainly of noble metals while In-Ovation L and STb show similar formulations of ferrous alloys in wing and base regions. No significant differences were found between ferrous brackets in hardness and modulus values, but there were significant differences between wing and base regions. Incognito illustrated intermediate values with significant differences from base and wing values of ferrous brackets. CONCLUSIONS/IMPLICATIONS Significant differences exist in microstructure, elemental composition, and mechanical properties among the brackets tested; these might have a series of clinical implications during mechanotherapy.

Factorial designs: an overview with applications to orthodontic clinical trials.

Factorial designs for clinical trials are often encountered in medical, dental, and orthodontic research. Factorial designs assess two or more interventions simultaneously and the main advantage of this design is its efficiency in terms of sample size as more than one intervention may be assessed on the same participants. However, the factorial design is efficient only under the assumption of no interaction (no effect modification) between the treatments under investigation and, therefore, this should be considered at the design stage. Conversely, the factorial study design may also be used for the purpose of detecting an interaction between two interventions if the study is powered accordingly. However, a factorial design powered to detect an interaction has no advantage in terms of the required sample size compared to a multi-arm parallel trial for assessing more than one intervention. It is the purpose of this article to highlight the methodological issues that should be considered when planning, analysing, and reporting the simplest form of this design, which is the 2 × 2 factorial design. An example from the field of orthodontics using two parameters (bracket type and wire type) on maxillary incisor torque loss will be utilized in order to explain the design requirements, the advantages and disadvantages of this design, and its application in orthodontic research.

Torque efficiency of different archwires in 0.018- and 0.022-inch conventional brackets.

OBJECTIVE To compare the archwires inserted during the final stages of the orthodontic treatment with the generated moments at 0.018- and 0.022-inch brackets. MATERIALS AND METHODS The same bracket type, in terms of prescription, was evaluated in both slot dimensions. The brackets were bonded on two identical maxillary acrylic resin models, and each model was mounted on the orthodontic measurement and simulation system. Ten 0.017 × 0.025-inch TMA and ten 0.017 × 0.025-inch stainless steel archwires were evaluated in the 0.018-inch brackets. In the 0.022-inch brackets, ten 0.019 × 0.025-inch TMA and ten 0.019 × 0.025-inch stainless steel archwires were measured. A 15° buccal root torque (+15°) and then a 15° palatal root torque (-15°) were gradually applied to the right central incisor bracket, and the moments were recorded at these positions. A t-test was conducted to compare the generated moments between wires within the 0.018- and 0.022-inch bracket groups separately. RESULTS The 0.017 × 0.025-inch archwire in the 0.018-inch brackets generated mean moments of 9.25 Nmm and 14.2 Nmm for the TMA and stainless steel archwires, respectively. The measured moments in the 0.022-inch brackets with the 0.019 × 0.025-inch TMA and stainless steel archwires were 6.6 Nmm and 9.3 Nmm, respectively. CONCLUSION The 0.017 × 0.025-inch stainless steel and β-Ti archwires in the 0.018-inch slot generated higher moments than the 0.019 × 0.025-inch archwires because of lower torque play. This difference is exaggerated in steel archwires, in comparison with the β-Ti, because of differences in stiffness. The differences of maximum moments between the archwires of the same cross-section but different alloys were statistically significant at both slot dimensions.

The timing of significant arch dimensional changes with fixed orthodontic appliances: data from a multicenter randomised controlled trial.

OBJECTIVES To identify the timing of significant arch dimensional increases during orthodontic alignment involving round and rectangular nickel-titanium (NiTi) wires and rectangular stainless steel (SS). A secondary aim was to compare the timing of changes occurring with conventional and self-ligating fixed appliance systems. METHODS In this non-primary publication, additional data from a multicenter randomised trial initially involving 96 patients, aged 16 years and above, were analysed. The main pre-specified outcome measures were the magnitude and timing of maxillary intercanine, interpremolar, and intermolar dimensions. Each participant underwent alignment with a standard Damon (Ormco, Orange, CA) wire sequence for a minimum of 34 weeks. Blinding of clinicians and patients was not possible; however, outcome assessors and data analysts were kept blind to the appliance type during data analysis. RESULTS Complete data were obtained from 71 subjects. Significant arch dimensional changes were observed relatively early in treatment. In particular, changes in maxillary inter-first and second premolar dimensions occurred after alignment with an 0.014in. NiTi wire (P<0.05). No statistical differences in transverse dimensions were found between rectangular NiTi and working SS wires for each transverse dimension (P>0.05). Bracket type had no significant effect on the timing of the transverse dimensional changes. CONCLUSIONS Arch dimensional changes were found to occur relatively early in treatment, irrespective of the appliance type. Nickel-titanium wires may have a more profound effect on transverse dimensions than previously believed. CLINICAL SIGNIFICANCE On the basis of this research orthodontic expansion may occur relatively early in treatment. Nickel-titanium wires may have a more profound effect on transverse dimensions than previously believed.

BPA qualtitative and quantitative assessment associated with orthodontic bonding in vivo

OBJECTIVE To assess the in vivo amount of BPA released from a visible light-cured orthodontic adhesive, immediately after bracket bonding. METHODS 20 orthodontic patients were recruited after obtaining informed consent. All patients received 24 orthodontic brackets in both dental arches. In Group A (11 patients), 25 ml of tap water were used for mouth rinsing, whereas in Group B (9 patients) a simulated mouth rinse formulation was used: a mixture of 20 ml de-ionized water plus 5 ml absolute ethanol. Rinsing solutions were collected before, immediately after placing the orthodontic appliances and after washing out the oral cavity and were then stored in glass tubes. Rinsing was performed in a single phase for 60s with the entire volume of each liquid. The BPA analysis was performed by gas chromatography-mass spectrometry. RESULTS An increase in BPA concentration immediately after the 1st post-bonding rinse was observed, for both rinsing media, which was reduced after the 2nd post-bonding rinse. Water exhibited higher levels of BPA concentration than water/ethanol after 1st and 2nd post-bonding rinses. Two-way mixed Repeated Measures ANOVA showed that the primary null hypothesis declaring mean BPA concentration to be equal across rinsing medium and rinsing status was rejected (p-value <0.001). The main effects of the rinsing medium and status, as well as their interaction were found to be statistically significant (p-values 0.048, <0.001 and 0.011 respectively). SIGNIFICANCE A significant pattern of increase of BPA concentration, followed by a decrease that reached the initial values was observed. The amount of BPA was relatively low and far below the reference limits of tolerable daily intake.

Management of a complication with a fractured zirconia implant abutment in the esthetic zone

Technical complications in implant prosthetic cases represent a major challenge in dentistry. This case report describes minimally invasive management to recover an implant with a fractured remnant of a zirconia abutment, including provisional rehabilitation during a sequential treatment protocol in the esthetic zone. A patient was treated with a screw-retained one-piece implant-supported reconstruction made of a customized zirconia abutment with direct ceramic veneering in the maxillary right central incisor position. During the prosthetic try-in, a fracture in the apical portion of the abutment was evident. The first rescue attempt led to fracture of the retrieval instrument. Immediately, an individualized wired construction was applied to bond the existing fractured reconstruction to the neighboring teeth to maintain the peri-implant mucosal architecture. Because the implant screw canal was blocked, a customized round bur had to be manufactured and was placed in the implant axis with a specific bracket tool from the service set to protect the interior implant threads. Then, the drills of the service set were guided by the newly created access to remove the fractured remnants. The implant screw was retapped and the area rinsed with chlorhexidine solution. All remnants were removed without the need for surgical intervention. Neither the implant connection nor the bone-to-implant interface was damaged. The stepwise treatment approach with the customized round bur combined with the system-specific drills of the service set saved the blocked implant so that the patient could be successfully rehabilitated with a new implant reconstruction.

The socioeconomic status of families of hyperglycemic versus non-hyperglycemic children: A descriptive analysis

The proportion of children and adolescents living with type 2 diabetes mellitus (DM) is rising at an alarming rate. Studies have shown that poor dietary choices and sedentary behaviors account for progression of some of the most prevalent diseases in America, including obesity, heart disease and diabetes. Other studies have shown that genetics plays a role in the diabetic determination of an individual, although not very common. What are some of the differentiating factors between elevated and non-elevated fasting capillary glucose (FCG) levels in children of similar ages, knowing they spend a majority of their lives at home or at school? Why are some children acquiring diabetes while others are not? This study utilized an IRB-approved Family Demographic Survey to determine gender, family income, parent education levels, sedentary practices, and household size. Only those families who gave consent to take part in the study received a questionnaire. The statistical results were used to test the hypothesis that children living with elevated FCG levels are more likely to descend from families with lower incomes, and lower levels of education.^ With regard to household income and FCG status of non-hyperglycemic and hyperglycemic children (Table 4b), there are 10.4% more hyperglycemic children in the lower income bracket than non-hyperglycemic children in the same income bracket.^ With regard to maternal education and FCG status (Table 5b), there are 7.0% more hyperglycemic children in the high school or less maternal educational attainment level than non-hyperglycemic children in the same maternal educational level. The Pearson correlation of maternal education and FCG status showed a negative correlation value of -.035 (Table 5d). The higher the occurrence of hyperglycemia in a child, the lower the maternal educational status is. Household size ranges and averages are nearly identical in families of both hyperglycemic and non-hyperglycemic children. ^

Ordenamiento territorial y desarrollo local : provincia Cercado, Tarija, Bolivia

El proceso de ordenamiento territorial en Bolivia es relativamente nuevo y por tal razón el avance es mínimo si se piensa en los objetivos alcanzados hasta ahora. El presente trabajo pretende mostrar el avance logrado en uno de los departamentos de Bolivia, Tarija, donde en 5 años, se ha logrado elaborar un plan departamental de ordenamiento territorial y mediante la coordinación interinstitucional (prefectura y gobiernos municipales) se ha iniciado el mismo proceso de a nivel municipal. A partir de estos planes municipales se induce a municipios predominantemente urbanos a trabajar planes de ordenamiento territorial a partir de lineamientos planteados desde la prefectura, con el fin de iniciar los procesos de planificación urbana, actualizar la normativa y elaborar proyectos de desarrollo local. El objetivo del presente trabajo, es mostrar los avances a los que se pretende arribar gracias a un proceso metodológico de ordenamiento territorial incorporado a una dinámica urbana que interactúa constantemente con su área de influencia que en el caso boliviano es normalmente rural; pero además demostrar que el componente interdisciplinario en el caso de la planificación urbana es imprescindible considerando que hasta hace unos años este era un trabajo especifico de los colegas urbanistas y que en una realidad como la latinoamericana casi siempre quedaba en planos y en un viejo anaquel. Por lo tanto a partir de una interdisciplinariedad se puede lograr desarrollo local articulando y optimizando relaciones urbano-rurales que basan su desarrollo en un proceso metodológico como es el caso del ordenamiento territorial. El trabajo, se apoya en la guía metodológica para la elaboración de planes elaboradas por el Ministerio de Desarrollo Sostenible del gobierno boliviano, pero como tal cual su nombre expresa es una guía susceptible a ser adecuada a las exigencias del área de estudio, en este sentido sobre esa base es que se incorporan algunas variables de estudio que permitirán mejorar el producto a nivel de propuesta una vez concluido el trabajo. Contempla varias etapas donde la incorporación de los diferentes actores sociales será una clave para lograr resultados exitosos en la etapa de implementación. Actualmente el plan municipal de la provincia Cercado, es un proyecto a encarar en los próximos meses una vez cumplidos con los requisitos administrativos para iniciar el trabajo técnico que comprenderá un trabajo de campo, para el relevamiento de datos, la elaboración de un diagnóstico integral con dos ámbitos territoriales rural y urbano, para luego proceder al análisis territorial y el planteamiento de propuesta que incluirán políticas, estrategias, acciones y proyectos, pero no solo generará bases para el uso de suelo y la ocupación del territorio, a escala urbana se plantearan los lineamientos para el diseño y la normativa urbana. A partir del cual se definirán proyectos de desarrollo local que nos permita orientarnos hacia la imagen objetivo planteada en la visión del proyecto, este trabajo incluye el aspecto institucional para fortalecer al proceso que hasta esta ahora se encuentra desarticulado; se pretende consolidar el proceso de ordenamiento y dar inicio a otros en escalas de mayor detalle permitiendo la optimización de recursos y el aprovechamiento de las potencialidades y recursos naturales para mejorar la calidad de vida.

Sistemas de brackets de baja fricción en ortodoncia clínica

Los sistemas de brackets de baja fricción reducen la fricción en comparación con los convencionales. La fricción se define como la fuerza resistencia entre dos objetos en movimiento que entran en contacto. Junto con la fijación (binding) y la muesca (notching), la fricción es responsable de la resistencia de deslizamiento que se observa en ortodoncia en las etapas de alineado, nivelado y cierre de espacios. Se ha establecido que la alta fricción puede impedir que se alcancen los niveles fuerza óptima para los tejidos de soporte. Los estudios de laboratorio revelan que la fricción es menor en los sistemas de brackets de baja fricción y en los que han sido diseñados de forma correcta, la fijación es más importante en cuanto a la resistencia de deslizamiento. Los estudios clínicos apoyan la idea de que la resistencia de deslizamiento es la misma en brackets de baja fricción y en los convencionales. Además, aseguran que la fricción tiene poca influencia en el ambiente clínico. Una revisión sistemática de estudios clínicos supervisados concluye que existe poca evidencia confiable que apoye el uso de los sistemas fijos de brackets de baja fricción sobre los aparatos convencionales o viceversa. A la luz de la evidencia existente, la reducción en la fricción producida por sistemas de brackets de baja fricción no muestra ventaja clínica.

Timing of the most recent Neoglacial advance and retreat in Potter Cove, Antarctic Peninsula

The timing of the most recent Neoglacial advance in the Antarctic Peninsula is important for establishing global climate teleconnections and providing important post-glacial rebound corrections to gravity-based satellite measurements of ice loss. However, obtaining accurate ages from terrestrial geomorphic and sedimentary indicators of the most recent Neoglacial advance in Antarctica has been hampered by the lack of historical records and the difficulty of dating materials in Antarctica. Here we use a new approach to dating flights of raised beaches in the South Shetland Islands of the northern Antarctic Peninsula to bracket the age of a Neoglacial advance that occurred between 1500 and 1700 AD, broadly synchronous with compilations for the timing of the Little Ice Age in the northern hemisphere. Our approach is based on optically stimulated luminescence of the underside of buried cobbles to obtain the age of beaches previously shown to have been deposited immediately inside and outside the moraines of the most recent Neoglacial advance. In addition, these beaches mark the timing of an apparent change in the rate of isostatic rebound thought to be in response to the same glacial advance within the South Shetland Islands. We use a Maxwell viscoelastic model of glacial-isostatic adjustment (GIA) to determine whether the rates of uplift calculated from the raised beaches are realistic given the limited constraints on the ice advance during this most recent Neoglacial advance. Our rebound model suggests that the subsequent melting of an additional 16-22% increase in the volume of ice within the South Shetland Islands would result in a subsequent uplift rate of 12.5 mm/yr that lasted until 1840 AD resulting in a cumulative uplift of 2.5 m. This uplift rate and magnitude are in close agreement with observed rates and magnitudes calculated from the raised beaches since the most recent Neoglacial advance along the South Shetland Islands and falls within the range of uplift rates from similar settings such as Alaska.

Particle size spectrum analysis during Maria S. Merian cruise MSM26, spring 2013

A Laser In-Situ Scattering Transmissometer (LISST) was used to collect vertical distribution data of particles from 2.5 to 500 µm in size. The LISST uses a multi-ring detector to measure scattering light of particles from a laser diode. Particles are classified into 32 log-spaced bins and the concentration of each bin is calculated as micro-liters per liter (µl/l). The instrument is rated to a depth of 300 m, and also records temperature and pressure. The sample interval was set to record every second. The LISST was attached to the LOPC frame to conduct casts and allow for particle-size comparisons between the two instruments. The LOPC is rated to a depth of 2000 m, thus a short deployment to a depth of 300 m was first conducted with both instruments. The instruments were then returned to the deck and the LISST removed via a quick release bracket so deep LOPC casts could be continued at a station. Raw LISST size-spectrum data is presented as concentrations for each of the 32 size bins for every second of the cast.

Motivación, flow e intención de práctica físico-deportiva en estudiantes de educación física de España y Latinoamérica

A pesar de los innegables beneficios físicos y psicosociales que la práctica de actividad física tiene para la población en las últimas décadas se observa un importante descenso en el nivel de práctica de actividad física durante la adolescencia. La Educación Física (EF) es una asignatura presente en las primeras etapas educativas de los currículums de todos los países y supone para la población infantil y adolescente, durante el periodo de escolarización obligatoria, un entorno de contacto cotidiano con la actividad física y deportiva lo que explica el creciente interés que existe por investigar en este contexto y extraer conclusiones que puedan ayudar a revertir el proceso de progresivo abandono de la práctica en estas edades. El presente trabajo se centra en un periodo, la adolescencia, especialmente sensible al abandono de la práctica de actividad física. Apoyándonos en tres de los marcos teóricos más importantes de los últimos años - Teoría de Metas de Logro, Teoría de la Autodeterminación y Teoría del Flow - hemos realizado un diseño con tres estudios complementarios que nos permitan avanzar en el conocimiento de las variables que afectan a esta realidad. En el primero de los estudios, en el que participaron 3990 estudiantes de EF de España, Argentina, Colombia y Ecuador con edades comprendidas entre 12 y 18 años, se fijaron como objetivos el establecimiento de perfiles motivacionales en estudiantes de EF considerando las orientaciones motivacionales, la motivación intrínseca y el flow disposicional; la comprobación de la posible estabilidad de los perfiles establecidos en cuatro países diferentes; y el análisis de la relación entre los perfiles motivacionales establecidos con la práctica de actividad física realizada en la actualidad y la intención de ser activo en el futuro. Los resultados revelaron la existencia de tres perfiles motivacionales en los estudiantes: perfil de motivación baja-moderada, perfil de motivación de alta motivación con bajo ego y perfil de alta motivación. Se encontraron similitudes en los perfiles motivacionales obtenidos en los cuatro países analizados, sugiriéndose la posibilidad de que la lengua materna compartida pueda ser una variable de influencia en la existencia de patrones conductuales similares. La orientación al ego resultó ser un elemento diferenciador en la relación de los dos perfiles que mostraron niveles más altos de motivación intrínseca, flow disposicional y orientación a la tarea con las variables de práctica. Mayores niveles de orientación al ego determinaron mayores valores de práctica e intención de práctica. En el segundo estudio, en el que participaron 365 estudiantes de EF de España, Argentina y Colombia con edades comprendidas entre 12 y 16 años, se testó un modelo explicativo de la intención de ser físicamente activo en el futuro en estudiantes de EF poco motivados introduciendo el flow disposicional como variable explicativa junto a las orientaciones motivacionales y la motivación intrínseca. El modelo de ecuaciones estructurales testado muestra que tanto la orientación al ego como la orientación a la tarea y la motivación intrínseca predijeron el flow disposicional. No se encontró un efecto significativo de la orientación a la tarea sobre la motivación intrínseca, ni de esta sobre la intención de práctica de AFD en el futuro. El flow disposicional resultó ser un mediador entre ambas orientaciones motivacionales y dicha intención, adquiriendo un papel relevante en la predicción de la intención de realizar actividad física en el futuro en los sujetos con poca motivación hacia la clase de EF. En el último estudio, con una muestra de 53 estudiantes de EF pertenecientes a dos clases de segundo curso de ESO con edades comprendidas entre 13 y 15 años, se analizó el efecto de una intervención de apoyo a las NPB sobre la satisfacción de las mismas, la motivación intrínseca, la disposición a experimentar flow y la intención de ser físicamente activo en el futuro; estudiándose también el efecto de la misma sobre ciertas variables presentes en el proceso de enseñanza-aprendizaje tales como la diversión, el aprendizaje y el gusto hacia el contenido y la metodología empleada. La intervención resultó efectiva en la mejora de todas las variables motivacionales analizadas a excepción de la satisfacción de la necesidad de relaciones sociales, variable que podría ser más difícilmente modificable en tanto que los grupos de clase suelen permanecer estables a lo largo de esta etapa educativa. Los alumnos de la condición experimental presentaron niveles más elevados de diversión, aprendizaje y gusto hacia el contenido y la metodología empleada. ABSTRACT Despite the undeniable physical and psychological benefits that physical activity has on health, a significant drop in the level of physical activity during adolescence has been observed over the last few decades. Physical education (PE) is present in the early stages of educational curricula of all countries, creating an environment in which children and adolescents can maintain daily contact with sport and physical activity during the period of compulsory education. There is thus a growing interest in research within this context, helping to draw conclusions aimed at reversing the progressive decline of physical activity in this age bracket. The work presented here focuses on adolescence – a period particularly sensitive when faced with declining rates of physical activity. Relying on three of the most important recent theoretical frameworks – Achievement Goal Theory, Self-Determination Theory and Flow Theory – we have carried out a design using three complementary studies that allow us to advance the understanding of variables affecting this reality. The first two studies employ a correlational methodology while the third follows a quasi-experimental design. The objectives of the first study, with the participation of 3990 PE students aged 12 to 18 from Spain, Argentina, Colombia and Ecuador, were: a) to establish motivational profiles in physical education students taking into consideration motivational orientations, intrinsic motivation and dispositional flow; b) to check the possible stability of the established profiles in the four countries; and c) to analyze the relationship between motivational profiles and both current levels of physical activity and intention to be physically active in the future. Results revealed the existence of three motivational profiles: low-moderate motivation profile, high motivation and low ego profile and high motivation profile. Similarities were found across the four countries, which presents the possibility that sharing the same mother tongue might influence the existence of similar behavioral patterns. Amongst the profiles that showed the highest levels of intrinsic motivation, dispositional flow and task orientation with practice variables, ego orientation became apparent as a differentiating element. Higher levels of ego orientation correlated with higher levels both in current level of physical activity and intention to be physically active in the future. In the second study, with the participation of 365 PE students aged 12 to 16 from Spain, Argentina and Colombia, an explanatory model of the intention to be physically active within the low-moderate motivation profile was tested, including dispositional flow as an influence variable together with motivational orientations and intrinsic motivation. The structural model equation in the low-moderate motivation profile shows some differences with respect to findings of similar studies using heterogeneous samples in motivational profiles. It was found that ego orientation, task orientation and intrinsic motivation predicted dispositional flow. No significant effects of task orientation on intrinsic motivation, or of intrinsic motivation on intention to be physically active in the future were found. Dispositional flow emerged as a mediator between both motivational orientations and intention, acquiring an important role in the prediction of future intentions to be physically active in adolescents who show low levels of motivation towards physical education. In the last of the three studies, with the participation of 53 PE students drawn from two classes in the second year of secondary education aged 13 to 15, the effect of an intervention to support basic psychological needs was tested against the satisfaction of these needs, intrinsic motivation, disposition to experience flow and intention to be physically active in the future. Alongside this, the aforementioned intervention was tested on certain variables present in the teaching-learning process such as fun, learning and taste for the activity and methodology. Supportive intervention was effective in improving all the motivational variables, except for the satisfaction of the relatedness variable, which may be more difficult to modify as class groups tend to remain stable throughout this educational state. Students in the experimental condition showed higher levels of fun, learning and taste for the content and methodology.

ANÁLISE COMPARATIVA DOS NÍVEIS DE ATRITO EM BRÁQUETES CONVENCIONAIS E AUTOLIGADOS

O atrito existente entre bráquetes e os fios ortodônticos é um fator importante a ser considerado quanto à eficiência do tratamento ortodôntico nas mecânicas de deslize. Em função disto, sempre se procurou maneiras de se diminuir os níveis de atrito durante a aplicação deste tipo de mecânica. Com o surgimento dos bráquetes autoligados, observou-se que uma das características principais destes dispositivos seria uma redução dos níveis de atrito entre os bráquetes e fios, e com isso poderia se obter um movimento de deslizamento eficiente com a aplicação de forças menores, quando comparado com o uso de bráquetes que tenham sistemas de amarração convencionais. O propósito deste trabalho foi comparar, por meio de ensaios laboratoriais, os níveis de atrito estático de um bráquete autoligado estético, de um bráquete autoligado metálico e dois tipos de bráquetes convencionais metálicos, com a utilização de fios ortodônticos de diferentes ligas, secção e diâmetros, para determinar quais bráquetes apresentam os menores coeficientes de atrito, em situações sem angulação, em angulações de primeira ordem e angulações de segunda ordem entre os diferentes fios e bráquetes. Os resultados demonstraram que os bráquetes autoligados apresentaram um atrito estático significativamente mais baixo nas situações onde não existiu angulação entre o fio e o bráquete e quando se utilizou fios de calibres menores e com material mais flexível, quando comparados com os bráquetes convencionais. O bráquete autoligado metálico apresentou maior atrito, semelhante aos bráquetes convencionais, com o uso dos fios de maior calibre, nas situações sem angulação. O bráquete autoligado metálico apresentou maior atrito estático que os bráquetes convencionais, nas situações de angulação, com o uso dos fios de maior calibre

ANÁLISE COMPARATIVA DOS NÍVEIS DE ATRITO EM BRÁQUETES CONVENCIONAIS E AUTOLIGADOS

O atrito existente entre bráquetes e os fios ortodônticos é um fator importante a ser considerado quanto à eficiência do tratamento ortodôntico nas mecânicas de deslize. Em função disto, sempre se procurou maneiras de se diminuir os níveis de atrito durante a aplicação deste tipo de mecânica. Com o surgimento dos bráquetes autoligados, observou-se que uma das características principais destes dispositivos seria uma redução dos níveis de atrito entre os bráquetes e fios, e com isso poderia se obter um movimento de deslizamento eficiente com a aplicação de forças menores, quando comparado com o uso de bráquetes que tenham sistemas de amarração convencionais. O propósito deste trabalho foi comparar, por meio de ensaios laboratoriais, os níveis de atrito estático de um bráquete autoligado estético, de um bráquete autoligado metálico e dois tipos de bráquetes convencionais metálicos, com a utilização de fios ortodônticos de diferentes ligas, secção e diâmetros, para determinar quais bráquetes apresentam os menores coeficientes de atrito, em situações sem angulação, em angulações de primeira ordem e angulações de segunda ordem entre os diferentes fios e bráquetes. Os resultados demonstraram que os bráquetes autoligados apresentaram um atrito estático significativamente mais baixo nas situações onde não existiu angulação entre o fio e o bráquete e quando se utilizou fios de calibres menores e com material mais flexível, quando comparados com os bráquetes convencionais. O bráquete autoligado metálico apresentou maior atrito, semelhante aos bráquetes convencionais, com o uso dos fios de maior calibre, nas situações sem angulação. O bráquete autoligado metálico apresentou maior atrito estático que os bráquetes convencionais, nas situações de angulação, com o uso dos fios de maior calibre